What is Sclerotherapy?

Sclerotherapy or vein therapy was developed over 75 years ago and at present is one of the most prevalent treatments for spider and varicose veins.

vivaMD Medical Spa & Weight Management’s medical professional will inject sclerosing agent (Asclera) with tiny needle to the specific vein/s. Treatment can last from 15 to 60 minutes, depending on the number of veins treated in a particular session. Upon injection, the solution replaces the blood in the vein, causing irritation and corrosion to the walls of the vessel. The body then initiates the natural healing process and the vein begins to shrink and eventually disappear. During the consultation, you will be advised as to the number of treatments necessary to achieve desired results.


What are varicose veins?

Varicose veins are large blue, dark purple veins. They protrude from the skin and many times the have a cord-like appearance and twist or bulge. Varicose veins are found most frequently on the legs. The recommended treatment for these types of veins is endovascular laser ablation to be done by board-certified Vascular Surgeons.

What are spider veins?
Spider veins are very small and very fine red or blue veins. They are closer to the surface of the skin than varicose veins. They can look like a thin red line, tree branches or spider webs. Spider veins can be found on the legs and face and many cover a small or large area.

What are reticular veins?
Reticular veins can also be known as feeder veins. They are the blue and green veins beneath the surface of skin. Reticular veins enlarge because of increased pressure in the vein. They can be caused by heredity. You may have reticular veins alone but you may also have spider veins at the same time.

What are unsightly veins?

These benign vascular lesions include enlarged blood vessels and capillaries that appear on the surface of the skin as splotches, dots, bulges and spider shapes. They can show up in a variety of colors ranging from red to purple to blue. Weakness in the walls and valves of the veins cause blood to stagnate rather than to be properly circulated. Some vascular lesions are so tiny that they are not visible under normal conditions. Others, such as varicose leg veins can be quite prominent.

What Causes Spider and reticular veins?
Spider and reticular veins can be caused by many factors.

Having a family member with prominent veins may increase the risk of you developing them. Approximately half of the people who get varicose veins have a family history of them.

The normal wear and tear of aging may cause valves in the veins to weaken and not work as well.

Women are two to three times likely to develop varicose veins than men. Up to half of American women have varicose veins. Changes in hormones due to puberty, pregnancy, menopause and birth control pills may increase a woman’s risk of developing varicose veins.

During pregnancy, the growth of the fetus increases the pressure on the veins in the legs. Varicose veins that occur during pregnancy usually improve within 3-12 months following pregnancy.

Overweight and obesity
Having extra weight on the body can put additional pressure on the veins.

Prolonged standing or sitting
This particularly true with legs bent or crossed. When standing or sitting with legs bent or crossed, the veins have to work harder to pump the blood up to the heart.

Other possible causes for leg veins are race, posture, occupation, hormones such as estrogen and progesterone, primary valvular incompetence and incompetent perforating veins.

Who is a candidate for Sclerotherapy?
Our medical professional will determine if you are a candidate for laser vein treatment or sclerotherapy.  During consultation, a review of your medical history will ascertain the cause and severity of your condition. Depending on the types of veins, a combination of different treatment modalities may be suggested.

What is the Sclerotherapy treatment like?
The vessels in question will be examined and reviewed with you by the medical professional. A treatment strategy will then be decided upon to eradicate these veins. You may be asked to stand while the problem veins are marked and photographed. The sclerosing agent will then be injected into the targeted veins. Discomfort is minimal and no anesthesia is required. You need to wear support hose or a supportive wrap for a short period of time following treatment. This precautionary post-treatment measure will apply compression to the treated vessels to prevent recurrence.

What results will I see from Sclerotherapy?
Gradual improvement in the look of the veins will be noticed. Many patients experience 60% to 80% clearance. During the consultation, you will be advised as to the number of treatments necessary to achieve desired results.

How many Sclerotherapy treatments will it take?
Several treatments may be required to achieve the optimum result. In some cases, as few as two or three treatments will fulfill the desired outcome.

How long will Sclerotherapy last?
Sclerotherapy usually lasts from two to five years, depending on the size and age of the veins. After this period of time, most people begin to develop new veins, but the previously treated veins do not reappear.

What are the side effects of Sclerotherapy?
In most cases, you will be able to resume regular activities immediately. However, excessive standing or vigorous exercise and activities are not advised for 24 to 48 hours. Following treatment, the affected veins may darken and the area may appear bruised. Patient must bring Support hose with them in wear it after treatment and go for 20-30 minutes walk. This application of pressure will help reduce side effects and aid in more effective healing and treatment. After the treatment of larger vessels, the affected area may appear pigmented but this is temporary and will fade over time.

To schedule an appointment, Please call (510) 742-5795